首页|苍耳子散加味辅助治疗儿童急性分泌性中耳炎风邪外袭证49例临床观察

苍耳子散加味辅助治疗儿童急性分泌性中耳炎风邪外袭证49例临床观察

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目的 观察苍耳子散加味辅助治疗儿童急性分泌性中耳炎风邪外袭证的临床疗效。方法 选取2020年7月至2021年12月于杭州市临平区中西医结合医院耳鼻喉科门诊治疗的急性分泌性中耳炎风邪外袭证患儿98例,按照随机数字表法分为对照组和治疗组,各49例。对照组予糠酸莫米松鼻喷雾剂喷鼻联合阿莫西林克拉维酸钾颗粒口服,治疗组在对照组治疗方法的基础上予苍耳子散加味口服。2组均连续治疗10 d后统计疗效。结果 治疗组总有效率为93。88%(46/49),显著高于对照组的79。59%(39/49),2组比较,差异有统计学意义(P<0。05)。治疗前2组的中医证候积分比较,差异无统计学意义(P>0。05),具有可比性;治疗后2组的中医证候积分均显著降低,与同组治疗前比较,差异均有统计学意义(P<0。05),且治疗组降低更显著(P<0。05)。结论 苍耳子散加味辅助治疗儿童急性分泌性中耳炎风邪外袭证,疗效确切,可显著改善临床症状,值得临床推广应用。
Clinical observation on modified Cangerzi San(苍耳子散)as adjunctive treatment of 49 cases of acute secretory otitis media in children with wind pathogenic external attack syndrome
Objective To observe the clinical efficacy of modified Cangerzi San(苍耳子散)in the treatment of acute secretory otitis media in children with wind pathogenic external attack syndrome.Methods From July 2020 to December 2021,98 cases of children with acute secretory otitis media with wind pathogen external attack syn-drome who were treated in the otorhinolaryngology clinic of Linping District Hospital of Integrated Traditional Chi-nese and Western Medicine in Hangzhou were selected and divided into a control group and a treatment group ac-cording to the random number table method,with 49 cases in each group.The control group was given mometasone furoate nasal spray combined with amoxicillin and clavulanate potassium granules orally,and the treatment group was given modified Cangerzi San orally based on the treatment method of the control group.After continuous treat-ment for 10 days,the efficacy of both groups was statistically analyzed.Results The total effective rate of the treat-ment group was 93.88%(46/49),significantly higher than 79.59%(39/49)of the control group.The difference between the two groups was statistically significant(P<0.05).The comparison of TCM symptom scores between the two groups before treatment showed no statistically significant difference(P>0.05),indicating comparability.After treatment,the TCM syndrome scores of both groups were significantly reduced,and compared with the same group before treatment,the differences were statistically significant(P<0.05),and the decrease in the treatment group was more significant(P<0.05).Conclusion The modified Cangerzi San has a definite therapeutic effect on children with acute secretory otitis media with wind pathogenic external attack syndrome,and can significantly improve clini-cal symptoms,which is worthy of clinical popularization.

acute secretory otitis mediachildrenmodified Cangerzi San(苍耳子散)clinical observation

张玉丽、蔚金建、康犁阳

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杭州市临平区中西医结合医院耳鼻喉科,浙江 杭州 311100

杭州市临平区中西医结合医院药剂科,浙江 杭州 311100

急性分泌性中耳炎 儿童 苍耳子散加味 临床观察

2024

中医儿科杂志
甘肃中医学院,中华中医药学会

中医儿科杂志

影响因子:0.82
ISSN:1673-4297
年,卷(期):2024.20(2)
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